Showing posts with label palliative care. Show all posts
Showing posts with label palliative care. Show all posts

Monday, July 11, 2016

“Useless treatments common in young, terminal cancer patients”


That’s the headline of a story I’ve just reread that was written by Dennis Thompson of HealthDay -  http://www.chicagotribune.com/lifestyles/health/sc-useless-cancer-treatments-terminal-health-0622-20160607-story.html
 
This news makes me wince uncomfortably.

Thompson reports that “An analysis of insurance records found that cancer patients often undergo chemotherapy, radiation therapy or surgery in their final 30 days.”
I’m trying to better understand this and having trouble. Does this mean that concerned doctors are trying to save patients right up to the last second? Or does it mean that doctors are giving patients medicine that cannot help them, but makes $$$ for ______ (I’ll let you fill in the blink).

Thompson further reports that “In 2012, ASCO issued a set of guidelines for physicians that recommended against using aggressive measures in patients with advanced cancer who are unlikely to benefit from such treatment. Instead, doctors should focus on easing the patient's pain and symptoms, the guidelines say.

He also quotes Dr. Andrew Epstein, an ASCO expert in palliative care, saying, "Much more often than not, these types of care at the end of life are not helpful, and they are emotionally and physically harmful for patients, and emotionally harmful to the patients' loved ones." Epstein is a medical oncologist at Memorial Sloan Kettering Cancer Center in New York.”

To see if these guidelines are being followed, researcher Dr. Ronald Chen -  associate professor of radiation oncology at the University of North Carolina at Chapel Hill - and his colleagues reviewed claims data for more than 28,000 terminally ill cancer patients younger than 65 who died between 2007 and 2014. The patients lived across 14 different states and had been diagnosed with advanced lung, colon, breast, pancreatic or prostate cancer.

Guess what?

The investigators found that between 71 percent and 76 percent of patients received some form of aggressive care at the end of life, depending on their type of cancer.

Somehow this just makes me sad. Not only are these victims dying, it seems like they aren’t allowed to go peacefully.

I could be wrong. Maybe all of these victims want to fight to their last breadth no matter what the odds are.

Read the article and decide for yourself.


Monday, November 18, 2013

Alternative holistic treatments for Stage IV Glioblastoma

There is an really good, if sobering, series of discussions on the Inspire.com website about alternative holistic treatments for Stage IV Glioblastoma: http://www.inspire.com/groups/american-brain-tumor-association/discussion/alternative-holistic-treatments-for-stage-iv-glioblastomas/?ref=as&asat=123905172

Suggestions from readers range from adopting a ketogenic diet, to a bag of raw bitter apricot seeds, to a listing of alternative treatments that are natural and holistic.

At the same time, several readers have talked about mental trauma and need to embrace palliative care.

Some of the postings come from folks who have embraced radical diet and lifestyle changes. You can read about one of the more interesting, and apparently successful, here: http://beatyourowncancer.com/?p=83

Some of the postings seem like miracles, e.g. one posting reports an incredible improvement after adopting a vegan diet. Other postings report no improvement after doing something quite similar.

I’m not sure what to make of all of this. I guess that most victims and their loved ones continue to search for cures until the very last moment (duh!). I also read extreme pain and anguish into the final moments (double duh!!). 

So I give you these links as a reminder that you are not alone; that others have the same pain and trials; and that that there is a site where you can post your thoughts and fears and others understand, really understand.

Image credit: <a href='http://www.123rf.com/photo_16521403_alternative-medication-concept--medical-cross.html'>gigello / 123RF Stock Photo</a>